NPI | 1902023799 |
---|---|
Doing Business As | COLORADO SPRINGS RESTORATIVE DENTISTRY PC |
Entity Type | Organization |
Authorized Contact | ARNOLD BRADLEY CULLUM CEO President 719-591-2004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |